Learning Thru The Arts

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. The CPSL requires staff to update their clearances at least every 60 months. The following staff did not update their NSOR clearance every 60 months: Staff #1 (previous 1/10/20, current 5/19/25).

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position with direct contact with children at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. The following staff were working unsupervised and did not have pediatric first aid/CPR training: Staff #1, #2, #3 and #4.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(10). Until such time as the required training has been completed, staff persons #1, #2, #3 and #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #1, #2, #3 and #4, staff persons #1, #2, #3 and #4 may not work in a child-care position at the facility.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff to have a health assessment on file prior to working in a child care role at the facility. Staff #3 did not receive a health assessment until 4/27/25 which was after the staff's date of hire and this staff worked in a child care role at the facility until obtaining this health assessment.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff to have on file two letters of written reference at the time of hire. Staff #1 and #4 were working in a child care role at the facility at the time of this inspection and their files did not contain two letters of written reference.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Regulation requires staff to review the facility's emergency plan at the time of initial hire. Staff #4 has not yet reviewed the facility's emergency plan and has been employed at the facility for more than 90 days.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff person #4 has not completed the following required pre-service training within 90 days of their date of hire: pediatric first aid/CPR and health and safety training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10) within 90 days of hire. Until such time as the required training has been completed, staff person #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #4, staff person #4 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: An unannounced inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. The following staff were not hired correctly per the CPSL: Staff #1 did not receive their child abuse clearance or NSOR clearance prior to working in a child care role at the facility. Staff #1 was observed working during this inspection and was not hired correctly per the CPSL as a provisional hire. Staff #2 did not apply for their out-of-state clearances for which they lived in the past 60 months as required by the CPSL prior to working in a child care role at the facility. Staff #2 was observed working during this inspection and was not hired correctly per the CPSL as a provisional hire. Staff #3 did not receive their NSOR clearance or apply for the FBI clearance prior to working in a child care role at the facility. Staff #3 was observed working during this inspection and was not hired correctly per the CPSL as a provisional hire. Staff #4 did not apply for their out-of-state clearances for states where they lived in the past 60 months as required by the CPSL prior to working in a child care role at the facility. Staff #4 was observed working during this inspection and was not hired correctly per the CPSL as a provisional hire. Staff #1 and #4 were working together during this inspection. Staff #2 and #3 were working together during this inspection. These four staff were not supervised by an appropriate staff person per the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, #2, #3 and #4 may not work in a child care position with direct contact with children at the facility.

Regulation: 3270.33(a)/3270.192(2)(ii)

Description: Each staff person meets quals/Exp, educ., training prior to facility

Noncompliance Area: An unannounced monitoring visit occurred at the facility. A review of staff files was completed. See the code sheet for the date of hire. Regulation requires proof of education on file prior to working in a child care role at the facility in order to appropriately qualify staff. Staff #1 was working at the facility during this inspection and the file did not contain proof of education to qualify them for a child care role at the facility.

Correction Required: A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: An unannounced inspection occurred at the facility. A review of the facility's fire system testing log was conducted. Regulation requires a facility to test the fire safety system at least every 30 days. The following tests did not occur at least every 30 days: 2/3/25, 3/4/25 and 4/7/25.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.102(a)

Description: Clean and good repair

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. In the outdoor play area, ride on toys were found with broken areas. These toys were identified at the time of the inspection with staff.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Regulation: 3270.131(b)(1)/3270.182(1)

Description: Infant: updated health report every 6 months/Initial and subsequent health reports

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of birth. Child #4 had a health report dated for 8/14/23 and did not obtain another health report until 8/16/24. Based on the child's age, a health report was not obtained every 6 months on this child.

Correction Required: The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.131(b)(2)/3270.182(1)

Description: Toddler/preschool: updated health report every 12 months/Initial and subsequent health reports

Noncompliance Area: A renewal inspection occurred at the facility. A review of children's files was conducted. See the code sheet for the children's dates of birth. Child #2 had a health report dated for 12/23/22 and did not obtain another health report until 8/29/24. Based on the child's age, a health report was not obtained every 12 months on this child.

Correction Required: The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. Staff #3 has not completed mandated reporter training within the last 60 months. This is evidenced by the previously documented mandated reporter training on file being dated 1/7/17. Staff #3 completed this training on 1/10/22.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(a)/3270.192(3)

Description: 12 months prior to service and every 24 months thereafter/Health assessment, TB test

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #5 worked in child care prior to receiving a health assessment. Staff #5 did not receive a health assessment until 9/5/23.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: A renewal inspection occurred at the facility and a review of staff files was conducted. Staff # 1 did not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): pediatric first aid and CPR. Staff #1 completed this training on 7/16/24.

Correction Required: Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: A renewal inspection occurred at the facility. A review of staff files was conducted. See the code sheet for the date of hire. Staff #1 was observed working at the facility and the file contained a DOE FBI clearance dated 3/10/23. The CPSL indicates that after 9/24/18 a DOE FBI clearance may not be used for employment in a DHS program.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 may not work in a child care position at the facility.

Regulation: 3270.76

Description: Building Surfaces

Noncompliance Area: A renewal inspection occurred at the facility. A physical site review was conducted. The bathroom in Preschool 1 was observed to have 4 holes in the wall. In the outdoor play area, the corner to the metal roof over the covered portion of the outdoor play area was found unattached and hanging. These areas were identified and addressed with staff during this inspection.

Correction Required: Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 4/11/2024, a Complaint Inspection was conducted. Staff #3 admitted that she pulls children by a piece of their clothing, on the shoulder or wrist area, to move them to where she wants them to go (i.e. toy area to put toys away). An acceptable plan of correction was received indicating that the correction would be implemented by 4/11/2024. On 6/21/24 an Unannounced Inspection was conducted at the facility. Through staff interviews, it was determined that Staff #3 continued to grab the children by their arms and legs and forcefully pull them to where Staff #3 wanted the children to go, such as in a time out.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child. The legal entity must arrange for Staff #3 to receive a minimum of two hours of training regarding appropriate behavior management of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: On 4/11/2024, a Complaint Inspection was conducted. Staff #3 admitted that she pulls children by a piece of their clothing, on the shoulder or wrist area, to move them to where she wants them to go (i.e. toy area to put toys away). An acceptable plan of correction was received indicating that the correction would be implemented by 4/11/2024. On 6/21/24 an Unannounced Inspection was conducted at the facility. Through staff interviews, it was determined that Staff #3 continued to grab the children by their arms and legs and forcefully pull them to where Staff #3 wanted the children to go, such as in a time out.

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.113(c)/3270.113(d)

Description: No ridicule or threaten harm/No harsh language

Noncompliance Area: On 4/11/2024, a Complaint Inspection was conducted: Staff #3 admitted that they became frustrated with Child #1, picked up and slammed a highchair down on the ground, then placed the child in the highchair for a timeout. Staff #3 also admitted to singling out Child #1 by placing the child outside the classroom, in the hallway area, for a timeout and verbally reprimanding the child. Staff #3 was also observed by other staff to call toddler-aged children "dumb," and raise her voice to a level that resulted in the children crying. An acceptable plan of correction was received indicating that the correction would be implemented by 4/11/2024. On 6/21/24, an Unannounced Inspection was conducted at the facility. Staff #3 admitted to using vulgar language by telling a toddler aged child to "put your pecker away" after the child had finished using the restroom. Through staff interviews, it was determined that Staff #3 continued to single out children and demean them. Children were scolded for misbehavior and told, in front of the entire classroom, that their parents do not know how to parent them by Staff #3. Staff #3 was observed to yell at and use a harsh tone towards toddler-aged children who were frustrating Staff #3.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.113(c)/3270.113(d)

Description: No ridicule or threaten harm/No harsh language

Noncompliance Area: On 4/11/2024, a Complaint Inspection was conducted: Staff #3 admitted that they became frustrated with Child #1, picked up and slammed a highchair down on the ground, then placed the child in the highchair for a timeout. Staff #3 also admitted to singling out Child #1 by placing the child outside the classroom, in the hallway area, for a timeout and verbally reprimanding the child. Staff #3 was also observed by other staff to call toddler-aged children "dumb," and raise her voice to a level that resulted in the children crying. An acceptable plan of correction was received indicating that the correction would be implemented by 4/11/2024. On 6/21/24, an Unannounced Inspection was conducted at the facility. Staff #3 admitted to using vulgar language by telling a toddler aged child to "put your pecker away" after the child had finished using the restroom. Through staff interviews, it was determined that Staff #3 continued to single out children and demean them. Children were scolded for misbehavior and told, in front of the entire classroom, that their parents do not know how to parent them by Staff #3. Staff #3 was observed to yell at and use a harsh tone towards toddler-aged children who were frustrating Staff #3.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children. The legal entity must arrange for Staff #3 to receive a minimum of two hours of training regarding developmentally appropriate practices with children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff persons #10 and #11 were observed to be caring for children unsupervised. Staff persons #10 and #11 have not completed the following pre-service training required prior to caring for children unsupervised: Pediatric first-aid/CPR. Staff person #10 has not completed the following pre-service training required prior to caring for children unsupervised: Health and Safety training.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff persons #10 and #11 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff persons #10 and #11, staff persons #10 and #11may not work in a child-care position at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: On 4/11/2024, an Unannounced Monitoring Inspection was conducted. Staff #8 did not have any written, nonfamily references on file which attested to the person's suitability to serve as a staff person. An acceptable plan of correction was received indicating that the correction would be implemented by 5/13/2024. On 6/21/2024, an Unannounced Inspection was conducted at the facility. Staff person #9 only had one, and not the required two, nonfamily references on file which attested to the person's suitability to serve as a staff person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.113(b)

Description: No physical punishment

Noncompliance Area: Staff #3 admitted that she pulls children by a piece of their clothing, on the shoulder or wrist area, to move them to where she wants them to go (i.e. toy area to put toys away).

Correction Required: A facility person may not use any form of physical punishment, including spanking a child.

Regulation: 3270.113(c)/3270.113(d)

Description: No ridicule or threaten harm/No harsh language

Noncompliance Area: Staff #3 admitted that they became frustrated with Child #1, picked up and slammed a highchair down on the ground, then placed the child in the highchair for a timeout. Staff #3 also admitted to singling out Child #1 by placing the child outside the classroom, in the hallway area, for a timeout and verbally reprimanding the child. Staff #3 was also observed by other staff to call toddler-aged children "dumb," and raise her voice to a level that resulted in the children crying.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children. The legal entity must update or create a policy regarding appropriate staff behaviors towards children. The policy must include appropriate ways staff can manage their own behavior when they are experiencing negative feelings, appropriate ways of communicating with misbehaving children, and options for staff who need time away from misbehaving children to de-escalate, and consequences for staff who fail to appropriately interact with the children. The legal entity will submit this updated policy to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policy, and it must be documented at the facility. The legal entity must arrange for all facility staff hired as of the date of the training to receive a minimum of 2 hours of PQAS approved in-person training, regarding behavior management of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

Regulation: 3270.113(c)/3270.113(d)

Description: No ridicule or threaten harm/No harsh language

Noncompliance Area: Staff #3 admitted that they became frustrated with Child #1, picked up and slammed a highchair down on the ground, then placed the child in the highchair for a timeout. Staff #3 also admitted to singling out Child #1 by placing the child outside the classroom, in the hallway area, for a timeout and verbally reprimanding the child. Staff #3 was also observed by other staff to call toddler-aged children "dumb," and raise her voice to a level that resulted in the children crying.

Correction Required: A facility person may not single out the child for ridicule, threaten harm to the child or the child's family and may not specifically aim to degrade the child or the child's family. A facility person may not use harsh, demeaning or abusive language in the presence of children.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Staff #3 admitted that they restrain child #1 for time-out purposes, a "couple times a day," by buckling the child into a highchair for "twenty minutes at a time."

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs. The legal entity must update or create a policy regarding appropriate discipline of children at the facility. The policy must include appropriate ways to manage behavior, as well as the prohibition of using equipment to restrain children for punishment. The legal entity will submit this updated policy to the Northeast Regional Office for approval. Once approved, all existing staff and new hires must be trained on the approved policy and it must be documented at the facility.

Regulation: 3270.113(e)

Description: Restraints prohibited

Noncompliance Area: Staff #3 admitted that they restrain child #1 for time-out purposes, a "couple times a day," by buckling the child into a highchair for "twenty minutes at a time."

Correction Required: A facility person may not restrain a child by using bonds, ties or straps to restrict a child's movement or by enclosing the child in a confined space, closet or locked room. The prohibition against restraining a child does not apply to the use of adaptive equipment prescribed for a child with special needs.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: Staff #2 and staff #3 (see code sheet for date of hire) did not complete the one-hour Health and Safety update. The Health and Safety update was required to be completed by 12/30/2022 for Staff #2, who is an existing staff. Staff #3 should have completed the one-hour Health and Safety update by 11/26/2023.

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Staff person #2 will have until May 15, 2024, to complete the required training.

Regulation: 3270.151(a)

Description: 12 months prior to service and every 24 months thereafter

Noncompliance Area: Staff #8 (see code sheet for date of hire) did not have a health assessment on file.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Regulation: 3270.162(c)

Description: Not withheld as discipline

Noncompliance Area: Staff #3 has been observed to withhold special food from children as a punishment. Staff #3 verbally tells the children that they are not getting the same snack.

Correction Required: Food may not be withheld from a child for purposes of discipline.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: Staff #8 did not have any written, nonfamily references on file which attested to the person's suitability to serve as a staff person.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Regulation: 3270.31(e)(4)(i)

Description: Age and Training

Noncompliance Area: Staff #3 and staff #4 had no documentation on file as of 4/11/24 showing that they completed updated pediatric first aid/ CPR training prior to the previous training expiring on 11/2023 for staff #3 and on 10/2022 for staff #4.

Correction Required: Competence is the completion of training by a professional in the field of first-aid and cardiopulmonary resuscitation (CPR). All staff persons shall renew their certification in pediatric first aid and pediatric cardiopulmonary resuscitation (CPR) on or before the expiration of the most current certification. Staff persons #3 and #4 will have until May 15, 2024, to complete the required training. Until such time as the required training has been completed, staff persons #3 and #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff persons #3 and #4, staff persons #3 and #4 may not work in a child-care position at the facility.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see code sheet for date of hire): Pediatric First Aid/CPR and Health and Safety Training.

Correction Required: Staff person(s) shall complete professional development in the topics of 3270.31(f)(1-10) within 90 days of hire. Staff person #6 will have until May 15, 2024, to complete the required training. Until such time as the required training has been completed, staff person #6 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #6, staff person #6 may not work in a child-care position at the facility.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: Staff person #8 (see code sheet for date of hire) did not have a Child Abuse Clearance on file. Also, there was no proof on file showing that the State Police Clearance and NSOR Certificate had been requested prior to the staff working with children.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A staff person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Persons #8 may not work in a childcare position at the facility until all completed clearances are on file at the facility.

Regulation: 3270.94(a)(1)

Description: Every 60 days

Noncompliance Area: Fire drills were not conducted every 60 days, as evidenced by the following documented fire drill logs: 3/3/23 to 5/5/23, 5/5/23 to 7/7/23, and 7/7/23 to 9/11/23.

Correction Required: The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Regulation: 3270.95(a)/3270.95(b)

Description: Devices must be compliant/Director or designated staff person ensure compliance

Noncompliance Area: The fire detection system was not tested every 30 days as indicated by the following fire detection system logs that were on file: 1/5/23 to 2/8/23, 3/3/23 to 4/4/23, 4/4/23 to 5/5/23, 5/5/23 to 6/6/23, 6/6/23 to 7/7/23, 8/4/23 to 9/11/23, 11/3/23 to 12/4/23, and 12/4/23 to 1/17/24.

Correction Required: Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Regulation: 3270.107

Description: Refrigerator

Noncompliance Area: During the renewal inspection on 9/27/23, there was no thermometer in the refrigerator in the Preschool 2 room.

Correction Required: A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

Regulation: 3270.131(a)

Description: Health information

Noncompliance Area: As of the renewal inspection on 9/27/23, child #1 (see code sheet for start date) did not have a health assessment on file.

Correction Required: The operator shall require the parent of an enrolled child, including a child, a foster child and a relative of an operator or a facility person, to provide an initial health report no later than 60 days following the first day of attendance at the facility.

Regulation: 3270.14/3270.21

Description: Pertinent Laws & Regulations/General Health and Safety

Noncompliance Area: As of the renewal inspection on 9/27/23, there was no continuity of operations plan as required by 45 CFR 98.41(a)(1)(vii).

Correction Required: A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Regulation: 3270.151(c)(3)/3270.151(c)(5)

Description: Exam communicable disease/Physician/CRNP assessment

Noncompliance Area: As of the renewal inspection on 9/27/23, the health assessment for staff #3 did not include they physician's assessment of the person's suitability to provide child care or the status of communicable disease.

Correction Required: An adult health assessment must include an examination for communicable diseases and the results of that examination. An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

Regulation: 3270.161(d)

Description: Potentially hazardous food refrigerated

Noncompliance Area: During the renewal inspection on 9/27/23, there was cheese and other potentially hazardous food in lunchboxes in the cubbies in the older toddler room.

Correction Required: Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

Regulation: 3270.27(a)(5)

Description: Emergency plan

Noncompliance Area: As of the renewal inspection on 9/27/23, the emergency plan did not include accommodations for toddlers, which the facility has enrolled.

Correction Required: The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

Regulation: 3270.27(a)(6)

Description: Emergency plan

Noncompliance Area: As of the renewal inspection on 9/27/23, the facility did not have documentation that an emergency drill had been conducted in the last year.

Correction Required: Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

Regulation: 3270.27(c)

Description: Training regarding plan

Noncompliance Area: As of the renewal inspection on 9/27/23, staff #1 did not have training in the emergency plan in the previous year.

Correction Required: The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Regulation: 3270.27(e)

Description: Letter to parents

Noncompliance Area: As of the renewal inspection on 9/27/23, the letter to the parents regarding the emergency plan did not include information about lock down, or accommodations for toddlers and children with special needs.

Correction Required: The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

Regulation: 3270.27(f)

Description: Emergency plan

Noncompliance Area: As of the renewal inspection on 9/27/23, the emergency plan had not been sent to the county but not the local municipality.

Correction Required: The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: As of the renewal inspection on 9/27/23, staff #2 did not have NSOR on file and has been employed for more than 45 days (see hire date on code sheet). Staff #2 must be removed from care until all clearances are on file.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a child care position at the facility.

Regulation: 3270.35(b)(3)

Description: Associate's + 2 yrs

Noncompliance Area: As of the renewal inspection on 9/27/23, there was insufficient documentation to qualify staff #3 for the stated Group Supervisor position.

Correction Required: A group supervisor shall have an associate's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 2 years of experience with children.

Regulation: 3270.37(b)(1)

Description: HS/GED

Noncompliance Area: As of the renewal inspection on 9/27/23, staff #4 did not have sufficient documentation to qualify for the stated Aide position.

Correction Required: An aide shall have a high school diploma or a general educational development certificate.

Regulation: 3270.32(a)/3270.192(4)

Description: Comply with CPSL/CPSL information

Noncompliance Area: During inspection on 2/16/23 Interview and record review revealed that staff #1 does not have a record of NSOR clearance per the requirements of the CPSL.

Correction Required: The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). STAFF Person # -1- may not work in a childcare position at the facility.

Regulation: 3270.104(a)

Description: Clean, good repair, proper size

Noncompliance Area: During inspection on 9/28/22 observed a changing table within a child care space with exposed foam.

Correction Required: Furniture must be durable, safe, easily cleaned and appropriate for the child's size, age and special needs.

Regulation: 3270.31(f)

Description: Health and Safety Training

Noncompliance Area: Staff person #--1- has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Correction Required: Staff persons shall complete professional development in the topics of 3270.31(f) within 90 days of hire. Staff person #-1-- must do one of the following: provide documentation that the trainer has become PQAS-certified or at least is on the waiting list, request the instructor provide documentation, such as their Pediatric First-Aid/CPR Instructor Card from the PQAS-approved organization or the approved curriculum organization, that the instructor is approved to offer Pediatric First-Aid/CPR training on behalf of their organization, or receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer

Regulation: 3270.91(a)

Description: Stairs, exits, etc. unobstructed

Noncompliance Area: During inspection on 10/18/22 observed an exit from the facility obstructed. During inspection on 9/28/22 observed a an exit from the facility obstructed.

Correction Required: Stairways, hallways, exits from rooms, exits from the facility and other means of egress serving as an exit shall be unobstructed.

Regulation: 3270.192(2)(ii)

Description: Exp, educ., training prior to facility

Noncompliance Area: During inspection on 9/29/21 record review revealed that staff 1 does not have a record of qualification, regarding education and training.

Correction Required: A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

Regulation: 3270.192(5)

Description: Two written references

Noncompliance Area: During inspection on 9/29/21 record review revealed that staff 1 does not have a record of references.

Correction Required: A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person

Noncompliance Area: There are play mats with torn edges which make them unable to be properly sanitized.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: The red couches in the preschool 2 room have torn edges. The bolts in the outdoor play space are missing covers.

Correction Required: Toys, play equipment and other indoor and outdoor equipment used by the children shall be clean, in good repair and free from rough edges, sharp corners, pinch and crush points, splinters and exposed bolts.

Noncompliance Area: Staff persons # 1, 2, 3, 4, 5, 6, and 7 did not have annual fire safety training.

Correction Required: Staff persons shall participate, at least annually, in fire safety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Noncompliance Area: The first aid kit in the school age room is missing soap.

Correction Required: A first-aid kit must contain the following: soap, an assortment of adhesive bandages, sterile gauze pads, tweezers, tape, scissors and disposable, nonporous gloves.

Noncompliance Area: THERE IS NO INSURANCE INFORMATION FOR CHILD #1 NOR CHILD #2

Correction Required: Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

Noncompliance Area: STAFF #1 DID NOT HAVE AN INITIAL HEALTH ASSESSMENT COMPLETED WITHIN 12 MONTHS PRIOR TO STARTING AT THE FACILITY.

Correction Required: A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Noncompliance Area: BOTTLES ARE NOT LABELED IN THE TODDLER ROOM

Correction Required: Disposable nursers and bottles shall be labeled with the child's name.